Susanne Doepfmer

• Charité Universitätsmedizin Berlin

Zusammenfassung Hintergrund Multimorbide und hochaltrige Patient*innen wenden sich mit sozialen Beratungsanlässen meistens an ihre Hausärzt*innen (HÄ). Mit den Pflegestützpunkten (PSP) gibt es etablierte Institutionen, die entsprechende Beratungen anbieten. Methoden In einer Machbarkeitsstudie wurde eine Kooperation zwischen HÄ und PSP in 2 Berli...

Background The use and advantages of point-of-care tests (POCTs) for C-reactive protein (CRP) in general practice, especially for upper respiratory tract infections (uRTIs), have been studied extensively. However, there is limited knowledge about test indications, prerequisites, and integration of these tests into everyday practice. Aim This study...

Background Point-of-care tests (POCTs) for C-reactive protein can support clinical decision-making of general practitioners (GPs) but are not widely used in German general practices. Aim To investigate the utilization of semi-quantitative CRP-POCTs in routine primary care. Design & setting Prospective observational study in 49 general practices i...

Zusammenfassung Hintergrund Das hausärztlich-geriatrische Basisassessment (hGBA) wird bei hausärztlichen Patient:innen ab dem vollendeten 70. Lebensjahr und geriatrietypischer Morbidität durchgeführt, um Alltagsprobleme und Funktionseinschränkungen strukturiert zu erfassen. Zum Nutzen des hGBA sowie zur Wahrnehmung, Akzeptanz und Anwendung auf hau...

Zusammenfassung Einleitung Die Übertragung von hausärztlichen Aufgaben und Verantwortlichkeiten an Medizinische Fachangestellte (MFA) kann zur Sicherstellung der Primärversorgung in Deutschland beitragen. Das Ziel der Studie ist die Erfassung und Analyse von Einstellungen und Vorgehensweisen von Hausärzt:innen und MFA zur Delegation ärztlicher Aufg...

Introduction Various developments result in increasing workloads in general practices. New models of care and a restructuring of the division of tasks could provide relief. One approach is to extend the delegation of medical tasks from general practitioners (GPs) to medical practice assistants (MPAs). So far, there has been a lack of information ab...

Introduction: Primary care for multimorbid patients does not only include medical but also social counseling. In Germany, community care points represent an institutionalised support offer for counseling for social and care-related issues at district level. Methods: Within the framework of an intervention study on the cooperation between general...

Introduction: The coronavirus pandemic did not only result in changes in the provision and utilization of health care services in general practice but also in an increased workload for physicians and medical practice assistants. The VeCo practice study retrospectively explores the experiences of both professional groups two years after the start o...

Introduction During the COVID-19 pandemic, general practitioners (GPs) continued to be a main point of contact for patients. For GP practices, it was and still is a challenge to meet constantly changing requirements due to the various phases of the pandemic. The aim of the study is to explore retrospectively the subjective experience with supply an...

Zusammenfassung In der hausärztlichen Versorgung multimorbider Patient*innen haben neben den medizinischen- auch soziale Beratungsanlässe eine große Bedeutung. Pflegestützpunkte stellen in Berlin ein etabliertes Angebot zur Beratung bei sozialen Anliegen auf Stadtbezirksebene dar. Im Rahmen einer berlinweiten Fragebogenerhebung wurde das Wissen von...

Introduction General practitioners (GP) increasingly face the challenge of meeting the complex care needs of multi-morbid patients. Previous studies show that GP practices would like support from other institutions in advising on social aspects of care for multi-morbid patients. Already existing counselling services, like community care points, are...

Beackground Older adults with mental health problems may benefit from psychotherapy; however, their perceived need for treatment in relation to rates of non-utilization of outpatient psychotherapy as well as the predisposing, enabling, and need factors proposed by Andersen’s Model of Health Care Utilization that account for these differences warran...

Background Recruitment of general practitioners (GPs) and their patients is reported as one of the most challenging steps when undertaking primary care research. The present paper describes the recruitment process of a cluster randomised controlled trial (cRCT) aiming to improve dementia care in the primary care setting. Methods Recruitment data w...

Objectives: Older adults with mental health problems may benefit from psychotherapy; however, their perceived need for treatment in relation with rates of non-utilization of outpatient psychotherapy as well as predisposing, enabling, and need factors proposed by Andersen’s Model of Health Care Utilization that account for these differences warrants...

Background: The shifting of medical tasks (MT) to Qualified Medical Practice Assistants (MPA) is an option that can be pursued to ensure adequate health care in Germany despite the increasing scarcity of physicians. The goal of this study was to determine the acceptability of medical task-shifting to MPA among the general population. Methods: In a...

Zusammenfassung Hintergrund Hausärzt*innen sind erste Ansprechpartner*innen und koordinieren die Versorgung von multimorbiden Patient*innen. In diesem Artikel werden Lösungsansätze für die Bedarfe und Wünsche der Hausärzt*innen in Bezug auf die Unterstützung bei nichtmedizinischen Tätigkeiten, insbesondere im sozialen und sozialrechtlichen Bereich...

Background: Recruitment of general practitioners (GPs) and their patients is reported as one of the most challenging steps when undertaking primary care research. The present paper describes the recruitment process of a cluster randomised controlled trial (cRCT) aiming to improve dementia care in the primary care setting. Methods: Recruitment data...

Objectives: Because of demographic changes, new models of care are important for supporting general practitioners in the care of patients with complex needs. This study addresses the question of the type of support that is requested by general practitioners working in Berlin. Methods: All general practitioners working in Berlin (n=2354) were ask...

Objective: Demands for a stronger competence orientation of specialty postgraduate medical training require the expansion of the didactic qualifications of those responsible for postgraduate medical training. In the context of the foundation of the Berlin competence center for postgraduate general practice training, a train the trainer basic semina...

Background: In Germany, a decreasing number of general practitioners (GPs) face a growing number of patients with multimorbidity. Whilst care for patients with multimorbidity involves various healthcare providers, the coordination of this care is one of the many responsibilities of GPs. The aims of this study are to identify the barriers to the su...

Background Many countries are faced with a decrease in physicians in non-urban areas. Especially for regions with decreasing populations, temporary solutions like commuting models might be a suitable option. So far, little is known about the willingness to commute among future physicians. Methods In this multicenter, cross-sectional survey, five y...

Objective To determine whether a psychiatric–psychosomatic consultation can identify unmet treatment needs and improve treatment of patients with mental disorders in general practice. Methods In 40 primary care practices, 307 consecutive primary patients who met criteria for chronic mental disorders were assessed by a psychiatric–psychosomatic con...

Objective: Physicians in postgraduate training (PPT) in General Practice (GP) typically have very little interaction with their peers, as there is usually only one resident physician working in their respective department or GP office at a given time. Therefore, the online platform KOLEGEA, presented here, aims to support postgraduate training in g...

An ongoing qualitative study at the Charité Berlin is examining the experience of family physicians with moral conflicts and the potential need for ethical advice. We analyze a case report from this interview study by using a principle-oriented approach. During an out-of-hours service, a family physician is being called to see an 85 years old, prev...

During the 8th course in professionalization I had the opportunity of a work shadowing experience in a big family practice in Plymouth, England. I was impressed by the friendliness of every member of the team and a well organized working structure with many employees working in various health professions.

Zielsetzung: Ältere Menschen mit depressiven Erkrankungen nehmen seltener Psychotherapie in Anspruch als jüngere Menschen. HausärztInnen sind für die Vermittlung in psychotherapeutische Behandlung insbesondere für ältere Menschen von großer Bedeutung. Dieser Beitrag präsentiert Ergebnisse zur hausärztlichen Sicht auf die Hindernisse und Voraussetzu...

Background: The aim of this study was to compare the approach of general practitioners (GP) and outpatient specialists for psychiatry, neurology or psychosomatic medicine to patients with somatically unexplained complaints. Methods: Qualitative interviews were conducted with general practitioners in Berlin and with outpatient specialists. Interv...

Aim: For the health care of people with depressive disorders, general practitioners are important contact persons. Some investigations have shown an under-diagnosis of these patients in GPs' surgeries. The significance of the ICD-10 for the diagnosis of depression is disputed. The BMBF-funded study "PSYTIA - Psychotherapy in old age" engages, among...

Background: In primary care patients with somatoform disorders pose a special challenge for their family practitioners in diagnosis, therapy and general management. There is still a lack of information on the subjective handling of these patients by their family physicians. This study aimed to explore the experience of family practitioners with pat...

Lithium has been used to augment the efficacy of antidepressant medications for more than 20 years. The present study examines whether evidence exists to support the clinical efficacy of lithium augmentation in refractory, treatment resistant depression. Studies were identified by searching Medline (1980 to August 2002) and by scanning the referenc...

Efficacy and side-effects of piritramide (pirinitramide) and morphine, given intravenously for postoperative analgesia after hysterectomy, were compared in a randomized controlled double-blind trial in 92 ASA class I-III patients. Administration was investigator-controlled during the first 90 min and subsequently via a patient-controlled device. Vi...

The addition of lithium to the treatment regimens of previously nonresponding depressed patients has been repeatedly investigated in controlled studies. The authors undertook this meta-analysis to investigate the efficacy of lithium augmentation of conventional antidepressants. An attempt was made to identify all placebo-controlled trials of lithiu...

In contrast to its widespread use in the prophylaxis of affective illness and in the acute treatment of mania lithium has not well been established in the treatment of acute depressive disorders. However, recent results from placebo controlled trials on lithium augmentation have shown its efficacy in the treatment of depressive disorders. Three dif...

Unstable coronary plaques with surface erosion and plaque rupture lead to acute coronary thrombosis, unstable angina pectoris and myocardial infarction. The in-vivo detection of plaque instability by angiography, intravascular ultrasound or angioscopy or by newly developed techniques, such as optical coherence tomography or by the observation of lo...

Extracorporeal photopheresis (ECP) has been successfully introduced for the treatment of cutaneous T-cell lymphoma; however, the mechanism(s) of its action is (are) unknown. To investigate the effects of ECP on the immune system of patients with cutaneous T-cell lymphoma. Clinical response and changes of lymphocyte subpopulations in 20 patients wit...

To evaluate the quality of health care received by diabetics. External audit by means of retrospective record review. SITE: Ambulatory outpatient diabetes clinics at community health centres in black areas of Cape Town. A stratified random sample (520) of all patients who attended any of five health centres during 1991 was reviewed by a clinician w...

EDITOR,—Charlotte Cox and colleagues report a double crossover trial looking at individual variation in the response of plasma cholesterol concentrations to dietary saturated fat.1 Responsiveness to diet was calculated for each subject as the difference between total cholesterol concentration during two types of diet. Consistent responders were the...

We have compared motor block of the extraocular muscles produced by injections of 3% prilocaine and a mixture of equal parts of 2% lignocaine and 0.75% bupivacaine into the medial compartment of the orbit. A volume of 8 ml was used initially, and a vasoconstrictor and hyaluronidase were added to both solutions. Ninety patients undergoing cataract s...